Individual
DR. SUSAN D DECESARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
260 DALEVILLE HIGHWAY, SUITE 105, COVINGTON TOWNSHIP, PA 18444
(570) 212-1518
Mailing address
260 DALEVILLE HIGHWAY, SUITE 105, COVINGTON TOWNSHIP, PA 18444
(570) 212-1518
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016835
PA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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